Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AZUL VISION INC.
NPI 1285247528
Ophthalmology in Pasadena, CA

Active since August 26, 2020CLIA Certified · 2 labs
2619 E COLORADO BLVD # 150, PASADENA, CA 91107(626) 793-4168 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, Apr 30, 2026, Nov 14, 2024 and 7 more (10 updates tracked since 2020).

About Azul Vision Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZUL VISION INC. (NPI 1285247528), doing business as Azul Vision, is a healthcare organization registered as an ophthalmology in Pasadena, California and active in the NPI registry since August 2020. The organization holds 2 active CLIA laboratory certificates, maintains 34 additional practice locations, and lists Dwayne Keith Logan, Md/ceo, as its authorized official.

NPPES Registry Identity

NPI1285247528
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameAZUL VISION INC.
Location Address2619 E COLORADO BLVD # 150Pasadena, CA 91107-3747
Mailing Address14726 Ramona Ave Ste 203Chino, CA 91710-5730 · (626) 305-9100 · Fax (626) 305-0152
Organization SubpartNo
Authorized OfficialDwayne Keith LoganMd/ceo · (714) 399-0678
Enumeration DateAugust 26, 2020
Last NPPES UpdateOctober 8, 202610 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1285247528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2619 E COLORADO BLVD # 150, Pasadena, CA 91107

Other Names 1

Doing Business AsAzul Vision

Secondary Practice Locations 34

Location 118250 Roscoe Blvd Ste 120Northridge, CA 91325-4265 · Phone (818) 583-9924
Location 226732 Crown Valley Pkwy Ste 351Mission Viejo, CA 92691-6374 · Phone (949) 642-3100
Location 381767 Doctor Carreon Blvd Ste 101Indio, CA 92201-5598 · Phone (760) 396-3600
Location 4494 N Mountain AveUpland, CA 91786-5178 · Phone (909) 552-7200
Location 523521 Paseo De Valencia Ste 305Laguna Hills, CA 92653-3144 · Phone (949) 581-1770
Location 65991 E Spring StLong Beach, CA 90808-3752 · Phone (562) 938-9945
Location 79170 Haven Ave Ste 102Rancho Cucamonga, CA 91730-5416 · Phone (909) 440-1014
Location 8229 E Beverly BlvdMontebello, CA 90640-3776 · Phone (562) 354-9522
Location 91595 E 17th StSanta Ana, CA 92705-8506 · Phone (714) 984-0788
Location 107677 Center Ave Ste 102Huntington Beach, CA 92647-3030 · Phone (714) 316-0802 · Fax (714) 316-0804
Location 117301 Medical Center Dr Ste 301West Hills, CA 91307-1979 · Phone (818) 583-9115
Location 12207 S Santa Anita St Ste P25San Gabriel, CA 91776-1145 · Phone (626) 200-1277
Location 131025 N Brand Blvd Ste 200Glendale, CA 91202-3638 · Phone (818) 583-9933
Location 143621 Vista WayOceanside, CA 92056-4522 · Phone (760) 607-3460
Location 151845 W Redlands Blvd Ste 101Redlands, CA 92373-3125 · Phone (909) 363-1450
Location 16420 W Rowland StCovina, CA 91723-2933 · Phone (626) 224-9980
Location 1712442 Limonite Ave Unit 203Eastvale, CA 91752-2467 · Phone (951) 821-5188
Location 1811550 Indian Hills Rd Ste 341Mission Hills, CA 91345-1203 · Phone (818) 365-0606
Location 19399 E Highland Ave Ste 401San Bernardino, CA 92404-3862 · Phone (909) 327-3118
Location 20700 Garden View Ct Ste 100Encinitas, CA 92024-2478 · Phone (760) 452-4270
Location 211120 W Washington Blvd Fl 2Los Angeles, CA 90015-3316 · Phone (213) 789-5030
Location 22150 S Grand Ave Ste JGlendora, CA 91741-4716 · Phone (626) 335-2114
Location 234351 Latham St Ste 101Riverside, CA 92501-1749 · Phone (951) 777-2210
Location 242600 Redondo Ave Ste 203Long Beach, CA 90806-2311 · Phone (562) 496-3600
Location 25947 S Anaheim Blvd Ste 120Anaheim, CA 92805-8502 · Phone (714) 991-4100
Location 2618370 Burbank Blvd Ste 207Tarzana, CA 91356-2856 · Phone (818) 996-3400
Location 2773950 Alessandro Dr Ste 5Palm Desert, CA 92260-3637 · Phone (760) 568-3334
Location 28855 W Foothill BlvdMonrovia, CA 91016-1938 · Phone (626) 358-1080
Location 297677 Center Ave Ste 301Huntington Beach, CA 92647-3049 · Phone (714) 901-2007
Location 303655 Lomita Blvd Ste 410Torrance, CA 90505-1929 · Phone (310) 803-9633
Location 31831 Highland Springs Ave Ste 300Beaumont, CA 92223-5769 · Phone (951) 821-5196
Location 328028 3rd StDowney, CA 90241-3602 · Phone (562) 622-8700
Location 33333 W Bastanchury Rd Ste 110Fullerton, CA 92835-3433 · Phone (714) 591-8132
Location 3416031 Tuscola RdApple Valley, CA 92307-1319 · Phone (760) 946-2020

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azul Vision Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

69

Medicare enrollment records show 69 clinicians reassign Medicare billing to Azul Vision Inc., which bills Medicare for the services they deliver. Of these, 10 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Optometry46
Ophthalmology23

Nearest to this location (20)

See all 69
Optometry
NPI 1295367399
2619 E COLORADO BLVD STE 150
Pasadena, CA 91107
(626) 793-4168
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1922808252
2619 E COLORADO BLVD STE 150
Pasadena, CA 91107
(626) 793-4168
✔ PECOSSame address
Ophthalmology
NPI 1205036456
2619 E COLORADO BLVD # 150
Pasadena, CA 91107
(626) 793-4168
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1437110749
2619 E COLORADO BLVD STE 150
Pasadena, CA 91107
(626) 793-4168
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1770921942
2619 E COLORADO BLVD STE 150
Pasadena, CA 91107
(626) 793-4168
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1497391932
2619 E COLORADO BLVD STE 150
Pasadena, CA 91107
(626) 793-4168
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1811680655
2619 E COLORADO BLVD # 150
Pasadena, CA 91107
(626) 793-4168
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1992746275
2619 E COLORADO BLVD STE 150
Pasadena, CA 91107
(626) 793-4168
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1740174598
2619 E COLORADO BLVD STE 150
Pasadena, CA 91107
(626) 793-4168
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1194958959
2619 E COLORADO BLVD STE 150
Pasadena, CA 91107
(626) 793-4168
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1649865080
207 S SANTA ANITA ST STE 310
San Gabriel, CA 91776
(626) 200-1277
✔ PECOS3.2 mi
Ophthalmology
NPI 1124021688
855 W FOOTHILL BLVD
Monrovia, CA 91016
(626) 358-1080
✔ PECOS✔ Accepts Medicare4.6 mi
Optometry
NPI 1558526988
855 W FOOTHILL BLVD
Monrovia, CA 91016
(626) 305-9100
✔ PECOS✔ Accepts Medicare4.6 mi
Optometry
NPI 1164787628
855 W FOOTHILL BLVD
Monrovia, CA 91016
(626) 358-1080
✔ PECOS✔ Accepts Medicare4.6 mi
Optometry
NPI 1407524119
229 E BEVERLY BLVD
Montebello, CA 90640
(323) 728-7998
✔ PECOS9.1 mi
Optometry
NPI 1841215365
229 E BEVERLY BLVD
Montebello, CA 90640
(562) 354-9522
✔ PECOS✔ Accepts Medicare9.1 mi
Optometry
NPI 1124101084
229 E BEVERLY BLVD
Montebello, CA 90640
(562) 354-9522
✔ PECOS✔ Accepts Medicare9.1 mi
Optometry
NPI 1427858653
1025 N BRAND BLVD STE 200
Glendale, CA 91202
(818) 583-9933
✔ PECOS9.1 mi
Optometry
NPI 1548924194
1025 N BRAND BLVD STE 200
Glendale, CA 91202
(818) 583-9933
✔ PECOS9.1 mi
Optometry
NPI 1902648223
1025 N BRAND BLVD STE 200
Glendale, CA 91202
(818) 583-9933
✔ PECOS9.1 mi
See all 69 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2346627

Azul Vision Dba Eye Specialist Medical Group · Riverside, CA
Active · expires Jul 2, 2028
CLIA Number05D2346627
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorPayam Amini
Laboratory Phone(909) 527-6757
Laboratory LocationAzul Vision Dba Eye Specialist Medical Group4351 Latham St Suite 206, Riverside, CA 92501
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2340720

Azul Vision · Pasadena, CA
Active · expires Mar 19, 2028
CLIA Number05D2340720
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2026
Certificate Expiration DateMarch 19, 2028
Laboratory DirectorPayam Amini
Laboratory Phone(661) 609-2475
Laboratory LocationAzul Vision2619 E Colorado Blvd, Suite 100, Pasadena, CA 91107
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Azul Vision Inc.'s NPI number?

The NPI number for Azul Vision Inc. is 1285247528. It was assigned to this organization in the NPPES registry on August 26, 2020. The provider is doing business as Azul Vision.

Where is Azul Vision Inc. located?

Azul Vision Inc. is located at 2619 E Colorado Blvd # 150, Pasadena, CA 91107. The listed phone number is (626) 793-4168.

What is Azul Vision Inc.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Azul Vision Inc. enrolled in Medicare?

Yes. Azul Vision Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Azul Vision Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 69 clinicians in 2 Medicare specialties reassign their Medicare billing to Azul Vision Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (46) and Ophthalmology (23). Of these, 10 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Azul Vision Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Azul Vision Inc. was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.